Organization
TREASURE VALLEY DENTAL ANESTHESIA AND SURGICAL PLLC
Active
Other names
Treasure Valley Anesthesia and Surgical PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN JUDD DMD (OWNER)
(208) 343-0909
Entity
Organization
Contact information
Practice address
1000 N CURTIS RD STE 103, BOISE, ID 83706-1345
(208) 994-6227
Mailing address
1000 N CURTIS RD STE 103, BOISE, ID 83706-1345
(208) 994-6227
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
05/03/2021
Last updated
05/04/2021
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